BOOK AN EYE EXAM

First and Last Name

Address 1

Address 2

City

Province

Postal Code

Email Address

Phone Number

Are you a previous customer? -- Are you a previous customer? -- Yes No Unsure

All glasses prescriptions require a Pupillary Distance (PD). A prescription missing entries for SPH, CYL, Axis, and ADD may mean you do not require that type of correction. *Please note that if you have previously purchased eyewear from us, we have this information on file and you can leave these fields blank*

SPH

CYL

AXIS

ADD

SPH

CYL

AXIS

ADD

Step 1. Find a millimeter ruler for measurements and a mirror or a friend. If using a mirror, try to look into the distance as you measure. If a friend is taking your measurements, try to look past them into the distance to avoid the result being too narrow. Step 2. Hold the ruler against the bridge of your nose and line up the middle of your left pupil with the 0 line of the ruler. You can now measure the distance between your pupils! Step 3. Measure across to the middle of your right pupil, still looking into the distance. Your PD should be between 46 and 74. Repeat these steps 2 to 3 times to get a consistent number. Note that PD is measured in millimeters. If your ruler is in centimeters, you can convert it online, but don’t measure your PD in inches. It might result in a wrong conversion and your measurement won’t be accurate. If you measure your PD the wrong way, you won’t have the right lens placement.

PD

To optimize your virtual shopping experience, please answer the following questions so we can select a mix of frames that suit your style, face shape and, most importantly, your needs.

How would you describe your eyewear needs? -- How would you describe your eyewear needs? -- A necessity; I want comfortable frames I can wear all the time. A fashion accessory; my eyewear should enhance my vision and my outfit. Versatile; I want a pair I can wear for different occasions.

How many pairs of glasses do you currently own? -- How many pairs of glasses do you currently own? -- 1 2 3 4 or more

What are your glasses for? -- What are your glasses for? -- Everyday essential Computer and office work I change them based on my activity

What is your frame style preference? -- What is your frame style preference? -- Open to frame colour and style Round Aviator Oval Rectangle Square Cat Eye No preference

Do you prefer plastic frames or metal frames with nosepads? -- Do you prefer plastic frames or metal frames with nosepads? -- Plastic Metal No preference

Do you have a preferred brand or model number?

What type of glasses are you looking for -- What type of glasses are you looking for -- Prescription Glasses Sunglasses Safety Glasses

Please upload a photo of yourself in your current frames No bigger than 5MB